HomeMy WebLinkAboutWell New 1970 John Fitch Boulevard 1Qr--10 ❑�n E4ch 6d
WELL COMPLETION REPORT STATE OF CONNECTICUT
WDB-5 1264 REV.gal WELL DRILLING BOARD Do NOT fill in
State Office Building STATE WELL NO.
HARTFORD,CONNECTICUT 06115
OTHER NO.
NAME ADDRESS
OWNER JOHN YK.DLIN
019 JTOMT WITCH BEND. , . WNDSO , CT.
LOCATION (No.&Street) (Town) (Lot Number)
OF WELL JOHN ITCH BLVD. (.R . 5) S. 'IMSOR
❑ ESTABLISHMENT ❑ FARM
BUSINESS
PROPOSED DOMESTIC ❑ TEST WELL
USE OF
WELL El PUBLIC
Y ❑ INDUSTRIAL AIR
❑ OTHER
❑ CONDITIONING (Specify)
DRILLING COMPRESSED CABLE
EQUIPMENT ® ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ OTHER
_ (Specify)
CASING LENGTH (feet) DIAMETER(inches)I WEIGHT PER FOOT DRIVE SHOE WAS CASING GROUTED?
DETAILS I30 I6 194,45 I � THREADED ❑ WELDED I JIYES ❑NO� DYES �NO
YIELD HOURS YIELD(G.P.M.)
TEST El ❑ PUMPED COMPRESSED AIR I V �0
WATER
MEASURE FROM LAND SURFACE—STATIC (Specify feet)I DURI(JG YIELD TEST(feet)
/�� Depth of Completed Well
LEVEL 40 225 I in feet below Land surface:
M 300
SCREEN AKE
LENGTH OPEN TO AQUIFER(feet)
DETAILS SLOT SIZE I DIAMETER(inches) IF GRAVEL
Diameter of well including GRAVEL SIZE(inches) FROM(feet) TO(feet)
PACKED: gravel pack (inches):
DEPTH FROM LAND SURFAC I
7FORMATIONESCRIPTION :'. .> Sketch exact location of well with distances,to at least
FEET to FEET two permanent landmarks.
O 32 San_I- ave
32 120 Clay -
120 304 Bedrock ---�-.
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
f +
DATE WELL COMPLETED I PERMIT NO. I REGISTRATION NO. I DATE OF RLPORT I WEL LLE (Signatur j
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DEPT. OF ENVIRONMENTAL PROTECTION -WATER RESOURCES